| Tertiary peritonitis | |
|---|---|
| Other names | Recurrent peritonitis |
| Specialty | Emergency medicine, general surgery |
| Symptoms | fever, shock, abdominal pain |
| Usual onset | Acute |
| Diagnostic method | clinical examination, surgical intervention |
Tertiary peritonitis (also known as recurrent peritonitis) is the inflammation of the peritoneum which persists for 48 hours after a surgery that has been successfully carried out in adequate surgical conditions.[1][2][3] Tertiary peritonitis is usually the most delayed and severe consequence of nosocomial intra-abdominal infection. Patients who acquire tertiary peritonitis are usually admitted to ICU due to the critical, life-threatening nature of the condition which can lead to multi-organ failure despite treatment and has a high mortality rate of 60%.[4] Signs and symptoms of tertiary peritonitis include fever, hypotension and abdominal pain. Diagnosis of the condition is often difficult and treatment intervention should be as early as possible.
- ^ Nathens, Avery B.; Rotstein, Ori D.; Marshall, John C. (1 February 1998). "Tertiary Peritonitis: Clinical Features of a Complex Nosocomial Infection". World Journal of Surgery. 22 (2): 158–163. doi:10.1007/s002689900364. PMID 9451931. S2CID 25329391.
- ^ Kreiss, Christianna M.; Bauer, Anthony J. (2007). "Peritonitis". xPharm: The Comprehensive Pharmacology Reference. pp. 1–7. doi:10.1016/B978-008055232-3.60801-3. ISBN 978-0-08-055232-3.
- ^ Gupta, SanjeevKumar; Mishra, ShashiPrakash; Tiwary, SatyendraKumar; Mishra, Manjaree (2014). "An introduction of Tertiary Peritonitis". Journal of Emergencies, Trauma, and Shock. 7 (2): 121–3. doi:10.4103/0974-2700.130883. PMC 4013728. PMID 24812458.
- ^ Martín-López, A.; Castaño-Ávila, S.; Maynar-Moliner, F. J.; Urturi-Matos, J. A.; Manzano-Ramírez, A.; Martín-López, H. P. (2012). "Tertiary peritonitis: As difficult to define as it is to treat". Cirugia Espanola. 90 (1): 11–6. doi:10.1016/j.ciresp.2010.11.005. PMID 21269607.